Chiazo Nnawuchi-Ekenna, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

18851 Issued in MS

Practice address

4105 Hospital St
Suite 104
Pascagoula, MS 39581-5312

Phone

(228) 762-9595

Fax

(228) 762-9494

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Care Center, P.L.L.C.

  • Pediatrics Physician
  • Pascagoula, MS
  • NPI 1083719256
  NPD (past)
• McKinney Medical Center Inc

  dba Mckinney Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Alma, GA
  • NPI 1134454911
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1487677340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395680726",
            "telephone_number": "228-762-9595",
            "fax_number": "228-762-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 HOSPITAL ST",
            "address_2": "SUITE 104",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815312",
            "telephone_number": "228-762-9595",
            "fax_number": "228-762-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNAWUCHI-EKENNA",
        "first_name": "CHIAZO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MS",
            "license": "18851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000652003",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00652003",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Nguyen, RPH
• Ha Bich Nguyen, DDS
• Vincent Nguyen
• Ericka Delania Nicholson
• Madison Dale Nickens
• Darrah Amanda Norsworthy, NP
• Sharay T North
• Stephen Nunenmacher
• Molly Rector O'Bryant, PHARM D
• Occupational Therapy by Emilia

• Pediatric Adolescent Medicine Physician in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Pediatric Adolescent Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.